Liberty House

Pediatrics

Liberty House is a Salem, Oregon based Pediatric center with medical specialization in General Pediatrics. It is located at 2685 4th St Ne, Salem, Oregon - 97301-6548. They can be contacted on phone at 503-540-0288 and fax number 503-540-0293.
NPI number (Unique professional ID) for Liberty House is 1639244056 which was assigned by NPPES on 21 Nov, 2006 and it was last updated on 06 Sep, 2007.
Liberty House is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Liberty House basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Liberty House
Business Address:
Liberty House address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :2685 4th St Ne
Salem, OR, 97301-6548
United States
Phone Number :503-540-0288
Fax Number :503-540-0293
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1639244056
NPI Entity Type : Organization
First Enrolment Date : 21 Nov, 2006
Last Updated On : 06 Sep, 2007
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Gretchen Bennett
Official Title or Position :DIRECTOR
Phone Number :503-540-0288
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Liberty House are as mentioned. Primary taxonomy code for Liberty House is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes
Legacy Identifiers:
Other legacy medical identifiers of Liberty House such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
139463MEDICAIDOR
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :2685 4th St Ne
Salem, OR, 97301-6548
United States
Phone Number :503-540-0288
Fax Number :503-540-0293
Business Location:
Patients can refer following map for directions to Liberty House practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.